Healthcare Finance Staff

After years of research, design, pilot programs and technology investment, the movement for quality improvement and pay-for-performance is facing skepticism from outside and within.

Hewlett-Packard revealed on Monday that it intends to break itself into two distinct entities and, in so doing, shared a little about how it will all work.

In Massachusetts, the expansion of the state's largest health system is offering a fractious case study of clinical integration and payment reform.

A few months after opening its own primary care clinics, Walmart is expanding its insurance sales program, in what could be another step toward underwriting.

In the many quests for sound Medicaid reimbursement, healthcare provider advocates may soon have another tool to compel state governments.

Health plans, providers and legislators need to increase the number of primary care practitioners participating in Medicaid as the wait for many to access care is inadequate and getting worse as enrollment mushrooms.

Drug benefits stand as some of the most consequential consumer confusions that can arise in public exchanges, increasing the onus on insurers to improve the design and explanation of formularies.

CVS recently made the bold move of quitting tobacco as part of its retail health ambitions. Now, a chief rival is upping the bet, trying to target consumer incentives and enter a wellness market in flux.

Another health system is taking a step into insurance with Medicare Advantage, banking on seniors wanting access to a prestigious brand.

More and more insurers are getting on to the smartphone and mobile health wave, trying to both attract tech-savvy members and try out new wellness ideas.